Medical Loss Ratio. The three-way contract between CMS, ODM, and the MCOPs indicates that ODM and CMS will perform medical loss ratio (MLR) calculations for the MyCare Opt-In program, and the minimum MLR requirement is 88% for demonstration year 8 (DY8). Details of the MLR remittance calculation can be found in the three-way contract between CMS, ODM, and the MCOPs.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Medical Loss Ratio. The three-way contract between CMS, ODM, and the MCOPs indicates that ODM and CMS will perform medical loss ratio (MLR) calculations for the MyCare Opt-In program, and the minimum MLR requirement is 88% for demonstration year 8 10 (DY8DY10). Details of the MLR remittance calculation can be found in the three-way contract between CMS, ODM, and the MCOPs.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Medical Loss Ratio. The three-way contract between CMS, ODM, and the MCOPs indicates that ODM and CMS will perform medical loss ratio (MLR) calculations for the MyCare Opt-In program, and the minimum MLR requirement is 8887% for demonstration year 8 7 (DY8DY7). Details of the MLR remittance calculation can be found in the three-way contract between CMS, ODM, and the MCOPs.
Appears in 1 contract
Samples: Provider Agreement